Individual
DR. MICHAEL MATTHEW JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
340 HULSE ROAD, NAVAL AEROSPACE MEDICAL INSTITUTE (NAMI), PENSACOLA, FL 32508
(850) 452-3054
(850) 452-5754
Mailing address
790 VETERANS WAY, NAVAL AEROSPACE MEDICAL INSTITUTE (NAMI), PENSACOLA, FL 32507-1000
(850) 912-2000
(850) 912-2447
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
42141-20
WI
207QA0505X
Adult Medicine Physician
G69425
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
120760
FL
Other
Enumeration date
09/30/2005
Last updated
05/18/2016
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